CAEP Qualifying Exam Application

Name: ____________________________

The following qualifying committee has been proposed:

Dr. _______________________________ (Supervisor)
Dr. ________________________________ (Chair of committee)
Dr. ________________________________
Dr. ________________________________
Dr. __________________, _________________(Affiliation)� (External)

Please write the affiliation for any committee member not from the ECE department, and submit a resume for any committee member from outside UT.

The preliminary title for the dissertation is �___________________________".

The exam is tentatively planned for __________________________(date).

Date Passed PreQualifier: __________________________

Date Submitted this application: ________________________

Signature: ______________________________________________

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